Scientific proven research that acupuncture works Acupuncture has been shown to be effective in the treatment of many medical conditions. Below is a list of research that proves the effectivness of acupuncture in the treatment of various medical ailments. Acupuncture channels found in the lymphatic system The Bonghan system is a newly-discovered circulatory system, which corresponds to classical acupuncture meridians and was discovered in the early 1960s by Bonghan Kim. Despite its potential importance in biology and medicine, it has been ignored or forgotten for a long time. Only recently have most of its significant parts, such as the Bonghan system (BHS) inside blood or lymph vessels, on the surfaces of internal organs, and in brain ventricles, been confirmed. For this, novel methods using modern technology were necessary because Bonghan Kim did not describe his methods. For example, Among other methods, the discovery of a BHS-specific dye, trypan blue, was one of the most important original contributions that made BHS observation possible. With this technique, the BHS in adipose tissue became traceable, and the BHS was discovered on the fascia surrounding tumor tissues, a finding which may have great significance in relation to serious health problems in modern society, namely, obesity and cancer. Bonghan Circulatory System as an Extension of Acupuncture Meridians, J Acupunct Meridian Stud 2009; 2 (2): 93-106. Acupuncture can treat obesity A comprehensive search of studies on MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and Chinese databases The effect of acupuncture on simple >obesity was measured using body mass index (BMI), body fat mass (BFM), waist circumference (WC), hip circumference (HC), and body weight (BW). The Jadad scale was used to assess methodological quality. The random effects model was used in the pooled analysis to adjust for the heterogeneity of the included studies, and funnel plots were used to examine publication bias. The differences between treatment groups were reported as mean differences (MD). Eleven RCTs were selected after all relevant literature from the electronic databases had been screened. There were 338 and 305 participants in the acupuncture and sham acupuncture groups, respectively. Auricular and electro acupuncture were both able to reduce BMI in obese patients (MD 0.47?kg/m2, 95%?CI 0.35 to 0.58, p0.001; MD 0.50?kg/m2, 95%?CI 0.38 to 0.62, p0.001). BFM change after acupuncture treatment compared with sham treatment was statistically significant (MD 0.66?kg, 95%?CI 0.51 to 0.80, p0.001). There were also significant differences in WC and HC between the acupuncture and sham acupuncture groups (MDwc2.02?cm, 95%?CI 0.21 to 3.83, p=0.03; MDHC2.74?cm, 95%?CI 1.21 to 4.27, p=0.0004). BW was not statistically significantly different between the acupuncture and sham acupuncture groups (MD 0.60?kg, 95%?CI -0.20 to 1.39, p=0.14). Begg's test and funnel plots showed that the potential publication bias of the included studies was very slight (p>0.05). Acupuncture for simple obesity appeared to be an effective treatment. Postgrad Med J. 2017 Jul 8. pii: postgradmedj-2017-134969. doi: 10.1136/postgradmedj-2017-134969. Acupuncture treats cervical vertigo This study aims to evaluate the efficacy and safety of acupuncture for the treatment of cervical vertigo (CV). Randomized controlled trials (RCTs) regarding effectiveness of acupuncture for treating CV were searched in 7 comprehensive databases prior to April 2016. A total of 10 studies with 914 participants were included. Results showed that acupuncture was more effective than conventional medicine therapy (CMT) in effectiveness, improvement rate of vertigo and headache, and increased average blood flow velocity of vertebral-basilar artery. In the subgroup analysis, the results did not change in different acupuncture methods and drug categories substantially. Sensitivity analysis demonstrated that the results of this meta-analysis were stable. Meanwhile, the long-term safety of acupuncture for CV still remains uncertain. GRADE analysis indicated that the quality of evidence for all outcomes was from very low to low which limited the value of the meta-analysis. Based on the systematic review, acupuncture appeared to be a promising therapeutic approach for CV. Evid Based Complement Alternat Med. 2017;2017:7597363. doi: 10.1155/2017/7597363. Acupuncture improves cognitive function in the eldery Electro-acupuncture is a burgeoning treatment using the needle inserting into the body acupoints and the low-frequency pulse current being electrified by an electric acupuncture machine. This study was designed to evaluate the effects of preconditioning of electro-acupuncture on postoperative cognitive dysfunction in elderly.Ninety patients scheduled spine surgery were randomly assigned into 2 groups using a random number table: control group (group C) and electro-acupuncture group (group EA). In group EA, electro-acupuncture was applied on Baihui, Dazhui, and Zusanli acupoints 30 minutes before anesthesia. At 0?minute before treatment of electro-acupuncture, 1?hour after skin incision and surgery completed (T1-3), blood samples were taken for detection of interleukin (IL)-6, IL-10, and S100ß by enzyme-linked immunosorbent assay. The total dose of remifentanil and propofol during surgery were recorded. Mini-Mental State Examination was applied to evaluate the cognitive function of patients at 1 day before surgery and 7th and 30th day after surgery. The results showed that compared with group C, score of MMSE increased after surgery, the serum concentration of IL-6, IL-10, and S100ß decreased at 1?hour after skin incision, and surgery completed in group EA. Moreover, the total dose of remifentanil and propofol reduced during surgery in group EA.The present study suggests that preconditioning of electro-acupuncture could improve the postoperative cognitive function, and the reduction of inflammatory reaction and brain injury may be involved in the mechanism. Medicine (Baltimore). 2017 Jun;96(26):e7375. doi: 10.1097/MD.0000000000007375. Acupuncture relieves dysmenorrhoea We reviewed the available evidence for SP6 (Sanyinjiao) acupressure for the relief of primary dysmenorrhea (PD) symptoms, as well as patients' experiences of this intervention. We searched six relevant databases and gray literature for publications dated up to March 2016. The search yielded 72 potential studies. Six of these studies, contributing a total of 461 participants, were included in this review. The primary outcome was pain intensity. Studies with significant homogeneity were pooled for meta-analysis. Qualitative data and quantitative data not suitable for meta-analysis were presented as a narrative synthesis. The Cochrane criteria demonstrated that the included studies were generally of low quality with a high risk of bias. SP6 acupressure delivered by trained personnel significantly decreased pain intensity immediately after the intervention (effect size = -0.718; CI = -0.951 to -0.585; p = 0.000), and pain relief remained up to 3 h after the intervention (effect size = -0.979; CI = -1.296 to 0.662; p = 0.000). However, patient-administered intervention required multiple monthly cycles to effect pain reduction. SP6 acupressure appears to be effective when delivered by trained personnel for some PD symptoms. Findings suggest that self-administered acupressure shows promise for the alleviation of PD symptoms. High-quality research is needed before conclusive recommendations are proposed. Complement Ther Clin Pract. 2016 Nov;25:92-105. doi: 10.1016/j.ctcp.2016.09.003. Acupuncture relieves premenstrual symptoms This paper reports a randomized, single blinded clinical trial. 97 participants (students in of Hormozgan University of Medical Sciences, Iran) with PMS were allocated to three groups to receive 20min acupressure on different acupoints for 14days before menstruation for three consecutive menstrual cycles (training and then two cycles self applied acupressure). The acupoints were LIV3 and LI4; one group received acupressure at a placebo point. Each participant completed the PSST scale (to determine PMS severity), HADS scale (for depression and anxiety), and quality of life SF12. The number of people with moderate/severe PMS decreased in LIV3 and LI4 acupressure groups by the second and third cycles compared with the placebo group (p0.04). Moreover, depression and anxiety scores significantly decreased in the LIV3 and LI4 groups by the second and third cycles compared with the placebo group (p0.05).Analyzing the score of SF12 fields in the second and third cycles showed a significant difference in all dimensions between the intervention and placebo groups. There was no significant difference between LIV3 and LI4 acupressure groups in decrease of PMS symptoms, anxiety and depression and improving SF12scores (p0.05). Performing the simple acupressure protocol at LIV3 and LI4 is an effective method to decrease the severity of PMS symptoms, anxiety and depression, and to improve the QOL. Pressure at LIV3 and LI4 appears to be equally effective. Complement Ther Med. 2017 Apr;31:65-70. doi: 10.1016/j.ctim.2017.02.003. Acupuncture better than drugs for constipation The primary outcome was the change in the number of weekly spontaneous bowel movements. Secondary outcomes were total response rate (or total effective rate), symptom reduction and Cleveland Clinic constipation scores. The pooled results showed significantly more improvement in the frequency of spontaneous bowel movements in the EA treatment group compared with the medicine-treated group (pooled SMD 0.244, 95% CI -0.065 to 0.424, P=0.008). Deep-needling EA was significantly more effective than treatment with medication at increasing the frequency of spontaneous bowel movements (p=0.019). Significantly greater improvement was also seen for total response rates (p=0.018) and reductions in symptom score (p<0.001) in EA-treated patients. EA was more effective than medication at improving spontaneous bowel movements and total response rate, and reducing the symptoms of functional constipation. Acupunct Med. 2017 Jun 19. pii: acupmed-2016-011127. doi: 10.1136/acupmed-2016-011127. Acupuncture helps with autism Autism spectrum disorders (ASDs) include autistic disorder, Asperger's disorder and pervasive developmental disorder. The manifestations of ASDs can have an important impact on learning and social functioning that may persist during adulthood. Acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups and the Theory of Mind cognitive model seem to have benefits for patients with autism spectrum disorders. Sao Paulo Med J. 2017 Mar-Apr;135(2):192-201. doi: 10.1590/1516-3180.2017.0058200317. Acupuncture treats pregnancy-related anxiety and depression In this preliminary study, we examined the effect of acupressure, acupuncture and moxibustion (oriental treatments) to prevent of the relapse/deterioration of perinatal depression in women with pregnancy-related anxiety and previous depression. Between 2014 and 2016, there were 48 women with pregnancy-related anxiety and previous depression who had delivery at = 22 weeks' gestation in our institute. Of these, oriental treatments were performed in eight and two women (totally 10, 21%) during pregnancy and postpartum, respectively. One of the 10 (10%) who received oriental treatments admitted depressive symptoms during pregnancy or postpartum, while 18 of the rest 38 who did not receive oriental treatments admitted depressive symptoms (47%, P = 0.065). The oriental treatments may be useful for pregnant women who need perinatal mental health care. J Clin Med Res. 2017 Jun;9(6):525-527. doi: 10.14740/jocmr3009w. Epub 2017 Apr 26. Acupuncture can treat chronic insomnia This report aimed to present the acupuncture treatment response of two patients who were evaluated with polysomnography. Acupuncture treatment was planned for two patients who refused medical treatment with chronic insomnia. Polysomnographic evaluation was performed at baseline and 1 month after acupuncture treatment. Remarkable improvement was determined in polysomnographic parameters of both cases. After acupuncture treatment, improvements in subjective symptoms such as unrefreshing sleep, morning headache, reduced motivation and daytime performance, tiredness, sleep disturbances, fatigue, and mood worsening in the morning were also observed. J Acupunct Meridian Stud. 2017 Apr;10(2):135-138. doi: 10.1016/j.jams.2016.09.018. Epub 2016 Sep 25. Acupuncture helps people with Parkinsons Parkinson's disease (PD) is the second-most-common chronic and progressive neurodegenerative disease. The long-term use of levodopa leads to a loss of efficacy and to complications. Therefore, many patients with PD have turned to complementary therapies to help relieve their symptoms. Acupuncture is most commonly used as a complementary therapy in patients with PD. In all, 982 potentially relevant articles were identified; 25 RCTs met our inclusion criterion, 19 of 25 RCTs were high-quality studies (i.e., a score of 6 or higher). We performed a systematic review and meta-analysis to evaluate the use of acupuncture for relief of PD symptoms and found that acupuncture has significant positive effects. Acupuncture can be considered as a combination treatment with conventional treatment for patients with PD. Medicine (Baltimore). 2017 Jan;96(3):e5836. doi: 10.1097/MD.0000000000005836. Acupuncture improves dementia Vascular dementia (VaD) is the second leading type of dementia after Alzheimer's disease plaguing the aging population. Acupuncture has served as alternative and complementary medicine in the world for a long time and its use for VaD is based on a large body of preclinical and clinical researches. The mechanisms that underlie the protective effects of acupuncture are slowly beginning to be understood. Acupuncture influences multiple aspects of the pathological process of VaD. It improves cognitive function through protecting cerebral neurons from oxidative stress, apoptosis, and neuroinflammation, regulating glucose metabolism and neurotransmitters. Acupuncture may also improve synaptic plasticity and blood vessel function. It is likely that no single factor can explain the protection provided by acupuncture. This review provides a comprehensive overview of established and recent findings in animal-based researches aiming to elucidate the complex mechanisms of acupuncture on VaD. Neurochem Int. 2016 Dec 26. pii: S0197-0186(16)30255-8. doi: 10.1016/j.neuint.2016.12.001. Acupuncture reduces glucose levels Acupuncture, a key part of traditional Chinese medicine, is used to relieve symptoms of diabetes mellitus. The aim of this study was to evaluate the effect of needling CV-12 (Zhongwan) on blood glucose levels in healthy volunteers. Thirty-six individuals were recruited and randomized into either the acupuncture group or the placebo control group. The participants in the acupuncture group were needled at CV-12 (4 cun above the center of the mbilicus), and those in the placebo control group were needled at a nonexisting "sham" point on the right side of the abdomen (1 cun beside the CV-12)-a nonacupuncture point. For both groups, the needle was retained for 20 minutes without stimulation. Assessments were performed prior to and after the intervention. Statistical analysis was performed using the Statistical Package for the Social Sciences, version 16. The result of this study showed a mild reduction in random blood glucose (RBG) levels in the acupuncture group and a mild increase in RBG levels in the placebo control group. However, these changes were not statistically significant both within and between groups. The result of this study suggests that although 20 minutes of needling at CV-12 without stimulation produced a mild reduction in RBG levels in healthy volunteers, it did not produce a statistically significant result. J Acupunct Meridian Stud. 2016 Dec;9(6):307-310. doi: 10.1016/j.jams.2016.08.002. Acupuncture helps people with COPuD breathe better Acupuncture has been suggested to treat chronic obstructive pulmonary disease (COPD) in China. This multicenter, randomized, sham-controlled study was designed to evaluate the efficacy of acupuncture for treating patients with COPD. Seventy-two participants with COPD were recruited and randomly divided into 2 groups (real acupuncture group and sham acupuncture group) in a 1:1 ratio. Patients received either real or sham needling at the same acupoints 3 times weekly for 8 weeks. The primary outcome was dyspnea on exertion evaluated using the 6-minute walk test. In addition, health-related quality of life was also evaluated. Measurements were obtained at baseline and after 8 weeks of treatment. Six-minute walking distance measurements and health-related quality of life were significantly better in the real acupuncture group than that in the sham acupuncture group. The findings suggest that acupuncture can be used as an adjunctive therapy to reduce dyspnea in patients with COPD. Medicine (Baltimore). 2016 Oct;95: DOI: 10.1097/MD.0000000000004879. Nanoparticles reveal the acupuncture meridian network The primo vascular system (PVS) is being established as a circulatory system that corresponds to acupuncture meridians. There have been two critical questions in making the PVS accepted as a novel liquid flowing system. The first one was directly to show the flow of liquid in PVS and the second one was to explain why it was not observed in the conventional histological study of animal tissues. Flow in the PVS in the abdominal cavity was previously verified by injecting Alcian blue into a primo node. However, the tracing of the dye to other subsystems of the PVS has not been done. In the current work we injected fluorescent nanoparticles (FNPs) into a primo node and traced them along a primo vessel which was inside a fat tissue in the abdominal wall. Linea alba is a white middle line in the abdominal skin of a mammal and a band of fat tissue is located in parallel to the linea alba in the parietal side of the abdominal wall of a rat. In this fat band a primo vessel runs parallel to the prominent blood vessels in the fat band and is located just inside the parietal peritoneum. About the second question on the reason why the PVS was not in conventional histological study the current work provided the answer. Histological analysis with hematoxyline and eosine, Masson’s trichrome, and Toluidine blue could not discriminate the primo vessel even when we knew the location of the PVS by the trace of the FNPs. This clearly explains why the PVS is hard to observe in conventional histology: it is not a matter of resolution but the contrast. The PVS has very similar structure to the connective tissues that surround the PVS. In the current work we propose a method to find the PVS: Observation of mast cell distribution with toluidine blue staining. PLOS ONE | DOI: 10.1371/journal.pone.0150423. Acupuncture prevents bone loss in sciatic injuries The peripheral nervous system may play an important role in normal bone maintenance and remodeling. The purpose of this study is to determine if treadmill running combined with electro-acupuncture at Jiaji acupoints (Jiaji-EA) affects tibial bone mass and SP expression in rabbits with sciatic nerve injury. Treatment (treadmill and ET groups) increased all measures compared to the SNCr group (p0.05). Further, TSI, BMD, bone strength, and SP expression in the ET group were higher than the treadmill group (p0.05). Our results indicate that treadmill therapy combined with electro-acupuncture at Jiaji acupoints prevents bone loss in rabbit tibias after sciatic nerve injury. This may occur in two ways: indirectly in association with axon regeneration and directly via loading on the bone mediated through increased SP expression. This study provides important evidence for the clinical treatment of bone loss after peripheral nerve injury. PLoS One. 2016 Nov 23;11(11):e0164652. doi: 10.1371/journal.pone.0164652. Acupuncture relieves insomnia Insomnia is a common disease in modern society; it is made worse by increasingly fierce competition in the workplace and elsewhere, along with rapid economic and social development. Sleep disorders can result in changes in serum biomarkers and decreased immunity, and may cause maladies such as depression and cardiac diseases, as well as many other somatic symptoms. Western medications for treating insomnia can easily lead to addiction and other adverse effects. Fortunately, acupuncture can ease the symptoms of insomnia. This review summarizes the hazards associated with insomnia and the use of acupuncture in its treatment. Furthermore, the authors introduce an effective and low-cost method of treating insomnia with acupuncture. This review indicates that insomnia poses a major threat to mental health through its effects on serum components, heart function and the immune system of patients, which may lead to other physiological disorders. Anxiety and depression are the two main negative emotions affected by insomnia. Acupuncture, which has showed effectiveness against insomnia and its complications, may be an effective and complementary method for the treatment of insomnia and associated maladies. J Integr Med. 2016 May;14(3):174-86. doi: 10.1016/S2095-4964(16)60248-0. Acupuncture helps reduce obesity by regulating insulin levels Electroacupuncture (EA) has been shown to exert beneficial effects on obesity, but the mechanism is unclear. The acupuncture group received acupuncture at Zusanli (ST36) and Quchi (LI11) for 20 minutes once per day for 28 days. The effect of acupuncture on weight loss may be related to improved insulin resistance caused by changes in the adipocyte size and by reductions in the expressions of neuroprotein Y/agouti-related protein and protein tyrosine phosphatase 1B. This study indicates that EA may be a better method of alternative therapy for treating obesity and other metabolic diseases. Acupuncture good for premature ejaculation One hundred twenty patients with PE in an outpatient urology clinic were randomized to receive dapoxetine 30 mg and 60 mg, acupuncture or sham acupuncture. Comparisons between the groups showed that changes observed with acupuncture was significantly higher than those observed with sham acupuncture. Acupuncture had a significant ejaculation-delaying effect. Urol Int. 2016 Apr 7. Acupuncture has an anti-inflammatory effect Although acupuncture therapy is widely used in traditional Chinese medicine for the treatment of diverse internal organ disorders, its underlying biological mechanisms are largely unknown. TNF-a production in mouse serum, which was induced by lipopolysaccharide (LPS) administration, was decreased by manual acupuncture (MAC) at the zusanli acupoint (ST36). These results suggest that the therapeutic effects of acupuncture may be mediated through vagal modulation of inflammatory responses in internal organs. PLoS One. 2016 Mar 18;11(3):e0151882. doi: 10.1371/journal.pone.0151882. Moxibustion helps with chronic kidney disease Forty-three participants with chronic kidney disease received three successive treatment sessions of indirect moxibustion bilaterally at BL 23, a crucial acupuncture point, in the session. Renal vascular resistance was decreased after indirect moxibustion therapy. J Altern Complement Med. 2016 Mar 16. Acupuncture improves libido in premenopausal women Female sexual dysfunction affects up to 43% of women in the United States and hypoactive sexual desire disorder (HSDD) is the most common type; however, we lack treatment options showing improvement for this condition. Participants underwent 25-minute twice-weekly acupuncture sessions for 5 weeks with one certified acupuncturist. Questionnaires were completed again 6 weeks after onset of treatment. Sexual function improved after intervention, particularly desire. In this cohort of premenopausal women with HSDD, 5 weeks of acupuncture therapy was associated with significant improvements in sexual function, particularly desire. This supports a role for acupuncture as a therapeutic option for women with low desire. Sex Med. 2016 Mar 28. pii: S2050-1161(16)00032-5. doi: 10.1016/j.esxm.2016.02.005. Acupuncture good for angina of the heart The aim of this study is to evaluate the efficacy and safety of acupuncture for stable angina pectoris. Clinical randomized-controlled trials (RCTs) comparing the efficacy of acupuncture to conventional drugs in patients with stable angina pectoris were searched. Total 8 RCTs, including 640 angina pectoris cases with 372 patients received acupuncture therapy and 268 patients received conventional drugs, were included. Overall, our result showed that acupuncture significantly increased the clinical curative effects in the relief of angina symptoms (OR=2.89, 95% CI=1.87-4.47, P0.00001) and improved the electrocardiography (OR=1.83, 95% CI=1.23-2.71, P=0.003), indicating that acupuncture therapy was superior to conventional drugs. No adverse effects associated with acupuncture therapy were found. Acupuncture may be an effective therapy for stable angina pectoris. Int J Clin Exp Med. 2015; 8(4): 5112–5120. Acupuncture helps sleep in post-menopausal women We systematically searched electronic databases (EMBASE, PubMed, PsycINFO, CINAHL, ClinicalTrials.gov, Wanfang Data Chinese Database, and China Knowledge Resource Integrated Database) and the reference lists of the identified studies. We identified 31 randomized controlled trials with 34 effect sizes involving a total of 2,433 participants. Studies with a large effect size of acupuncture-associated changes in serum estradiol had a significantly lower odds of sleep disturbances than did those with a small-to-moderate effect sizes. Acupuncture is associated with a significant reduction in sleep disturbances in women experiencing menopause-related sleep disturbances. Our findings suggest that acupuncture should be adopted as part of a multimodal approach for improving sleep disturbances in perimenopausal and postmenopausal women. Obstet Gynecol. 2016 Feb 4. Acupuncture helps people with sepsis In this prospective randomized controlled trial, 60 patients with sepsis were randomly assigned to the control group and the intervention group equally by block randomization. Patients in the control group received routine treatment and those in the intervention group received electro-acupuncture at bilateral Zusanli and Guanyuan in addition to routine treatment. Electro-acupuncture at Zusanli and Guanyuan could improve clinical curative effect in patients with sepsis, which might be achieved by regulation of the immune system. Chin J Integr Med. 2016 Jan 29. Acupuncture relieves tinnitus This randomized, single-blind, sham-control study examined patients (18-60 years old) with normal hearing and chronic, idiopathic, continuous tinnitus. Fifty-seven subjects were randomly assigned to true (n?=?30) or sham (n?=?27) acupuncture. A significant improvement in THI scores was observed at the end of true ACP treatment for all domains (all p?values < 0.01) except the catastrophic scale. Acupuncture improved the Tinnitus Handicap Inventory scores in tinnitus patients. Eur Radiol. 2016 Jan 8. Acupuncture restores sense of smell Acupuncture alleviates impairment and dysfunction of the sense of smell, dysosmia. Tianjin University of traditional Chinese medicine researchers conducted an acupuncture clinical trial of ten patients with dysosmia. Acupuncture achieved a total effective rate of 90%. Two patients completely recovered, three patients achieved excellent clinical improvements, four patients achieved significant clinical improvements, and one patient demonstrated no signs of improvement. The results indicate that acupuncture restores olfaction. Zhao H. (2014). Study in Clinical Effect of Sensory Dysosmia Patients in 10 Cases Treated With Acupuncture. Guangming Journal of Chinese Medicine. 29(8). Acupuncture alleviates atherosclerosis and benefits arteries Acupuncture is an effective treatment for atherosclerosis. Researchers from the Qian’an Hospital of TCM (traditional Chinese medicine) investigated the efficacy of acupuncture for the treatment of carotid artery related atherosclerosis. The study compared two types of acupuncture treatments with drug therapy. One acupuncture protocol produced significantly greater positive patient outcomes than drug therapy. Another acupuncture protocol produced equivalent results to drug therapy. Li YH, Huang HB, Wang WX & Yang LX. (2014). Observation of the head acupuncture through hole on the treatment of carotid artery atherosclerosis. Hebei Journal of Traditional Chinese Medicine. 36(8). Acupuncture good for drug resistant anxiety 40 participants from a psychiatry waiting list were randomised into one of two groups: group 1 (n=25) received 10 weeks of acupuncture at PC6, HT7 and LR3, and group 2 was a waiting list control group. The waiting list group (n=15) then received acupuncture. Both groups were followed up for 10 weeks after treatment. The outcome measure was the State and Trait Anxiety Inventory. 6 patients completed the study, with two dropouts in each group. State anxiety scores in the acupuncture group decreased from 57.7 (SD 13.1) to 38.8 (12.0); scores in the waiting list control group decreased from 61.5 (11.6) to 60.6 (11.7). The difference was highly significant (p<0.0001). Acupuncture is a promising intervention for patients with chronic anxiety symptoms that have proven resistant to other forms of treatment. Acupunct Med. 2015 Apr;33(2):98-102. doi: 10.1136/acupmed-2014-010524. Epub 2015 Jan 16. Acupuncture relieves irritable bowel syndrome (IBS) Acupuncture alleviates irritable bowel syndrome (IBS). Researchers from the Heilongjiang University of Chinese Medicine investigated the efficacy of electroacupuncture for the treatment of IBS. A comparison group in the clinical trial received oral administration of pinaverium bromide. The acupuncture treatment group demonstrated an 86.7% improvement rate. The drug group demonstrated a 50% improvement rate. Sun YZ & Song J. (2014). Therapeutic Observation of Acupuncture at Jiaji (EX-B2) for Irritable Bowel Syndrome. Shanghai Journal of Acupuncture and Moxibustion. 34(9). Acupuncture relieves agitation in children One hundred and twenty patients aged 18 to 96 months (American Society of Anesthesiologists physical status I or II) undergoing minor elective surgery under general anaesthesia with sevoflurane. Patients were randomly assigned to either undergo bilateral stimulation of HT7 with two PNS devices (1?Hz, 50?mA) during surgery (Group HT7) or a control group that did not undergo electrical stimulation of HT7 during surgery. The incidence of emergence agitation was significantly lower in the HT7 group compared with the control group (31.7 vs. 56.7%, respectively; P?=?0.010). Bilateral electrical stimulation of HT7 using two PNS devices significantly decreases the incidence of emergence agitation. Eur J Anaesthesiol. 2015 Nov 28. Acupuncture alleviates dementia and cognitive impairment Acupuncture alleviates dementia and cognitive impairment. Researchers from the Anhui University of Chinese Medicine demonstrate that acupuncture has a 90% total effective rate for the treatment of vascular dementia. Researchers from the Heilongjiang University of TCM (traditional Chinese medicine) demonstrate that acupuncture improves cognitive abilities for patients with non-dementia related vascular cognitive impairment. In addition, researchers from the Tianjin University of Traditional Chinese Medicine demonstrate that acupuncture has an 88% total effective rate for the treatment of chronic cerebral circulatory insufficiency (CCCI). Wang Y, Zhu CQ & Chen SF. (2014). Clinical Effect of Long-Term Scalp Acupuncture in Treatment of Vascular Dementia:A Report of 30 Cases. Journal of Anhui Traditional Chinese Medical College. 33(2). Acupuncture relieves tinnitus Randomized clinical trial with 50 participants with tinnitus, divided into two groups: 25 participants in the acupuncture group (AG) and 25 participants in the control group (CG). The AG received acupuncture treatment and the CG received no treatment. A statistically significant result was found for the primary outcome, reducing the intensity of tinnitus, with p=0.0001 and the secondary endpoint, showing improvement in quality of life, with p=0.0001. Chinese scalp acupuncture associated with bilateral electroacupuncture demonstrated, in the short term, a statistically significant improvement by reducing the level of tinnitus intensity, as well as improving the quality of life of individuals with tinnitus. Braz J Otorhinolaryngol. 2015 Nov 14. pii: S1808-8694(15)00206-2. doi: 10.1016/j.bjorl.2014.12.011. Acupuncture and moxibustion alleviate type II diabetes Acupuncture and moxibustion are effective for the treatment of diabetes. Researchers from the Nanjing University of Chinese Medicine conclude that acupuncture combined with moxibustion has a total effective rate of 84.78% for the treatment of type 2 diabetes. Moxibustion increases efficacy for diabetes treatments. The researchers also investigated the implementation of acupuncture as a standalone therapy. Without moxibustion, acupuncture had a total effective rate of 69.57%. As are result, the researchers conclude that the combined therapy produces superior patient outcomes. Hu, Z. H., Wang, Y., Huang, J. Y., Xu, J. H., Jiang, Z. F. & Wang, S. S. (2014). Research for Optimizing the Acupuncture-moxibustion Treatment Protocol for Diabetic Gastroparesis. Shanghai Journal of Acupuncture and Moxibustion. 33 (12). Acupuncture better than propranolol for migraines Propranolol is recommended as first-line treatment for preventing migraine attacks; acupuncture has not been compared with propranolol in a head-to-head trial. We searched MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials comparing acupuncture or propranolol with sham acupuncture, placebo, waiting-list control or usual care were included. We extracted information from the included trials using a standardized extraction form. The primary outcome was migraine episodes. The secondary outcomes included migraine days, migraine frequency, and adverse events. We included 19 RCTs (n?=?3656) after screening 1078 articles. The analysis showed that acupuncture had a significant advantage over propranolol in reducing migraine episodes over a 4-week period (SMD - 0.74, 95% CI - 1.04 to - 0.44). Acupuncture also had a significant advantage over waiting-list control in decreasing migraine frequency (SMD - 1.57, 95% CI - 2.08 to - 1.06). Acupuncture caused fewer adverse events than propranolol (RR 0.82, 95% CI 0.11-5.94).Acupuncture had a better effect than propranolol in reducing migraine episodes in indirect comparison. The result should be confirmed in subsequent head-to-head studies. Chen et al. J Neurol. 2019 Aug 21. doi: 10.1007/s00415-019-09510-x. Acupuncture's pain relief lasts for up to 12 months There is uncertainty regarding how long the effects of acupuncture treatment persist after a course of treatment. We aimed to determine the trajectory of pain scores over time after acupuncture, using a large individual patient data set from high-quality randomized trials of acupuncture for chronic pain. The available individual patient data set included 29 trials and 17,922 patients. The chronic pain conditions included musculoskeletal pain (low back, neck, and shoulder), osteoarthritis of the knee, and headache/migraine. We used meta-analytic techniques to determine the trajectory of posttreatment pain scores. Data on longer term follow-up were available for 20 trials, including 6376 patients. In trials comparing acupuncture to no acupuncture control (wait-list, usual care, etc), effect sizes diminished by a nonsignificant 0.011 SD per 3 months (95% confidence interval: -0.014 to 0.037, P = 0.4) after treatment ended. The central estimate suggests that approximately 90% of the benefit of acupuncture relative to controls would be sustained at 12 months. For trials comparing acupuncture to sham, we observed a reduction in effect size of 0.025 SD per 3 months (95% confidence interval: 0.000-0.050, P = 0.050), suggesting approximately a 50% diminution at 12 months. The effects of a course of acupuncture treatment for patients with chronic pain do not seem to decrease importantly over 12 months. Patients can generally be reassured that treatment effects persist. Studies of the cost-effectiveness of acupuncture should take our findings into account when considering the time horizon of acupuncture effects. The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain. MacPherson, et al, Pain: May 2017 - Volume 158 - Issue 5 - p 784–793. doi: 10.1097/j.pain.0000000000000747. Acupuncture beats morphine for pain relief Acupuncture is one of the oldest techniques to treat pain and is commonly used for a large number of indications. This was a prospective, randomized trial of acupuncture vs morphine to treat ED patients with acute onset moderate to severe pain. Resolution time was 16±8 minutes in the acupuncture group vs 28±14 minutes in the morphine group (P<.005). Overall, 89 patients (29.6%) experienced minor adverse effects: 85 (56.6%) in morphine group and 4 (2.6%) in acupuncture group (P<.001). No major adverse effects were recorded during the study protocol. In patients with acute pain presenting to the ED, acupuncture was associated with more effective and faster analgesia with better tolerance. Am J Emerg Med. 2016 Jul 20. pii: S0735-6757(16)30422-3. doi: 10.1016/j.ajem.2016.07.028 Acupuncture more effective than drugs for sciatica In this review, a total of 11 randomized controlled trials were included. As a result, we found that the use of acupuncture may be more effective than drugs and may enhance the effect of drugs for patients with sciatica. Evid Based Complement Alternat Med. 2015;2015:425108. doi: 10.1155/2015/425108. Acupuncture relieves endometrosis pain Endometriosis is a multifactorial, estrogen-dependent, inflammatory gynecological condition - often with long-lasting visceral pelvic pain of different origin, and infertility among women. Current management options for patients' are often inadequate, with side effects for many for whom acupuncture techniques could be an alternative. Three studies were found including 99 women, 13-40 years old, with diagnosed endometriosis. Endometriosis is often painful, although with various origin, where standard treatments may be insufficient or involve side effects. Based on the reported studies, acupuncture could be tried as a complement as it is an overall safe treatment. J Pain Res. 2016 Mar 24;9:157-65. doi: 10.2147/JPR.S55580 Acupuncture good for chronic lower back pain In the primary analysis including all eligible trials, acupuncture was superior to both sham and no acupuncture control for each pain condition (all p0.001). After exclusion of an outlying set of trials that strongly favored acupuncture, the effect sizes were similar across pain conditions. Patients receiving acupuncture had less pain, with scores 0.23 (95% C.I. 0.13, 0.33), 0.16 (95% C.I. 0.07, 0.25) and 0.15 (95% C.I. 0.07, 0.24) standard deviations lower than sham controls for back and neck pain, osteoarthritis, and chronic headache respectively; the effect sizes in comparison to no acupuncture controls were 0.55 (95% C.I. 0.51, 0.58), 0.57 (95% C.I. 0.50, 0.64) and 0.42 (95% C.I. 0.37, 0.46). Acupuncture is effective for the treatment of chronic pain and is therefore a reasonable referral option. Arch Intern Med. 2012 Oct 22; 172(19): 1444–1453. Acupuncture better than ibuprofen for carpal tunnel syndrone This study compared the efficacies of acupuncture and anti-inflammatory treatment in patients with carpal tunnel syndrome (CTS). Fifty patients with mild to moderate CTS were randomly divided into two groups. Our findings indicate that acupuncture affected the score on the global BCTQ FUNCT and SYMPT, the VAS score, and the electrodiagnostic findings, except the DML, more than ibuprofen did and that acupuncture might be an effective treatment for CTS. J Acupunct Meridian Stud. 2015 Oct;8(5):229-35. doi: 10.1016/j.jams.2014.11.005. Epub 2014 Nov 29. Acupuncture and moxibustion relieves period pain 20 patients with primary dysmenorrhea were randomized into two groups, separately treated with herb-partitioned moxibustion at CV8 (shenque) and acupuncture at SP6 (sanyinjiao). After three menstrual cycles' treatment, the intensity of menstrual pain using VAS and the changes of metabolites of plasma using LC-MS were observed. It was effective in relieving the abdominal pain by these two therapies. Herb-partitioned moxibustion is superior to acupuncture for primary dysmenorrhea, which could be related to regulating the endocrine hormone. Evid Based Complement Alternat Med. 2015;2015:621490. doi: 10.1155/2015/621490. Epub 2015 Jul 1.